| NPI | 1881830271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62864) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 62864) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2010-04-26 |